1. Home
  2. Directory
  3. Mississippi
  4. Gulfport
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

SANJANA PRAKASH MD
NPI 1891582946
Student in an Organized Health Care Education/Training Program in Gulfport, MS

Active since April 22, 2025PECOS Enrolled
4500 13TH STREET, MEMORIAL HEALTH SYSTEM, GULFPORT, MS 39501(228) 822-6512(228) 575-1937 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sanjana Prakash Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANJANA PRAKASH MD (NPI 1891582946) is an individual student in an organized health care education/training program in Gulfport, Mississippi and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891582946
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSANJANA PRAKASHCredential: MD
Location Address4500 13TH STREET, MEMORIAL HEALTH SYSTEMGulfport, MS 39501
Mailing Address4500 13th Street, Memorial Health SystemGulfport, MS 39501 · (228) 822-6512 · Fax (228) 575-1937
Phone(228) 822-6512
Fax(228) 575-1937
Sole ProprietorNo
Enumeration DateApril 22, 2025
Last NPPES UpdateAugust 14, 2025
✔ NPI 1891582946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4500 13TH STREET, MEMORIAL HEALTH SYSTEM, Gulfport, MS 39501
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanjana Prakash Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SALMAN BARI MD
Student in an Organized Health Care Education/Training Program
4500 13TH STREET, MEMORIAL HEALTH SYSTEM
GULFPORT, MS 39501
Harrison County (228) 822-6512

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanjana Prakash's NPI number?

The NPI number for Sanjana Prakash is 1891582946. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Sanjana Prakash located?

Sanjana Prakash practices at 4500 13th Street, Memorial Health System, Gulfport, MS 39501. The listed phone number is (228) 822-6512.

What is Sanjana Prakash's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sanjana Prakash enrolled in Medicare?

Yes. Sanjana Prakash is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sanjana Prakash was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.